<{assign var="tpl_page_title" value="预约商铺"}>
<{include file="mobile/block/header.html"}>
<div class="pding">
	<h2 class="nowrap mb10">商铺：<{$shop.name}> </h2>
	<form action="<{link ctl='mobile/shop:yuyue'}>" method="post" mini-form="produt_yuyue" class="tenders">
        <input type="hidden" name="shop_id" value="<{$shop.shop_id}>" />
		<input type="text" name="data[contact]" value="<{$pager.contact}>" class="text full" placeholder="您的姓名" />
		<input type="text" name="data[mobile]" value="<{$pager.mobile}>" class="text full" placeholder="联系方式" />
		<input type="submit" class="btn mainbtn_full" value="立即申请 " />
	</form>
</div>

<{include file="mobile/block/sfooter.html"}>
</body>
</html>
